Mandated benefit definition

Mandated benefit means the following, considered in the context of a sickness and accident insurance policy or a health insuring corporation policy, contract, or agreement:

Mandated benefit or "required benefit" means a health plan ben- efit for a specific type of service, device or medical equipment, or treatment for a specified condition or conditions that a health plan is required to cover by either state or federal law. Required benefits do not include provider, delivery method, or health status based re- quirements.

Mandated benefit or "required benefit" means a health plan benefit for a specific type of service, device or medical equipment, or treatment for a specified condition or condi- tions that a health plan is required to cover by either state or federal law. Required benefits do not include provider, deliv- ery method, or health status based requirements.

Examples of Mandated benefit in a sentence

• Minimum mandated mental health benefits laws: Mandated benefit laws require that some level of mental health coverage be provided, but discrepancies are permitted between the level of mental health benefits provided and those for other health conditions.

• Mandated benefit laws are not CPGs in intent or substance, but they are important to understanding how the law can explicitly specify clinical tasks that were historically left up to physician discretion.

• Similarly, the exchanges will provide benefit and premium options for individuals purchasing commercial coverage.• Mandated benefit differences: The Centers for Medicare and Medicaid Services (CMS) requires PDP carriers to offer plans that are meaningfully different as measured by out-of- pocket costs (OOPC).

• Mandated benefit studies conducted by the Bureau of Insurance evaluate the social and financial impact and the medical efficacy of mandating the benefit.

• Mandated benefit sharing may offer some leverage to local communities, but additional measures may be necessary to counter historic and contextual factors that favor resource developers.

More Definitions of Mandated benefit

Mandated benefit means a health plan benefit for a specific type of service, device or medical equipment, or treatment for a specified condition or conditions that is required by either state or federal law.

Mandated benefit and "required benefit" means a spe- cific type of care, treatment or service, device or medical equipment that is required by either state or federal law. Required benefits do not include provider, definition, deliv- ery method or health status based requirements.

Mandated benefit means a coverage or offering of coverage of a benefit or provider pursuant to 57 §§ 38.2-3407.5 through 38.2-3407.6:1, 38.2-3407.9:01, 38.2-3407.9:02, 38.2-3407.11 through 58 38.2-3407.11:3, 38.2-3407.16, 38.2-3408, 38.2-3411 through 38.2-3414.1, 38.2-3418 through

Mandated benefit means a state-mandated benefit or federally-mandated benefit as identified in KRS 304.17A or 806 KAR 17:500, Sections 3 and 4(2).

Mandated benefit means the following, considered in the context of a sickness and accident insurance policy or a health insuring corporation policy, contract, or agreement: (1) any required coverage for a specific medical or health-related service, treatment, medication, or practice, (2) any required coverage for the services of specific health care providers, (3) any requirement that an insurer or health insuring corporation offer coverage to specific individuals or groups, (4) any requirement that an insurer or health insuring corporation offer specific medical or health-related services, treatments, medications, or practices to existing insureds or enrollees, (5) any required expansion of, or addition to, existing coverage, and (6) any mandated reimbursement amount to specific health care providers (R.C. 103.144, not in the bill).

Mandated benefit or "required benefit" means a health plan benefit for a specific type of service, device or medical equipment, or treatment for a specified condition or condi- tions that a health plan is required to cover by either state or

Mandated benefit or "required benefit" means a health plan benefit for a specific type of service, device or medical equipment, or treatment for a specified condition or condi- tions that a health plan is required to cover by either state or federal law. Required benefits do not include provider, defi- nition, delivery method, or health status based requirements. "Meaningful health benefit" means a benefit that must be included in an essential health benefit category in order for the category to reasonably provide medically necessary ser-